Deborah Latzke, MS, LPCC, LADC | |
760 Elmwood Ave S, Le Sueur, MN 56058-2169 | |
(507) 931-8040 | |
(507) 931-8060 |
Full Name | Deborah Latzke |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 760 Elmwood Ave S, Le Sueur, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962581082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 301854 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | CC00107 (Minnesota) | Primary |
Entity Name | Counseling Services Of Southern Minnesota, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962557496 PECOS PAC ID: 5890696868 Enrollment ID: O20040114000466 |
Mailing Address | Practice Location Address |
---|---|
Deborah Latzke, MS, LPCC, LADC 29150 441st Ave, Gaylord, MN 55334-2202 Ph: (218) 790-2165 | Deborah Latzke, MS, LPCC, LADC 760 Elmwood Ave S, Le Sueur, MN 56058-2169 Ph: (507) 931-8040 |
Dr. Lynn O'brien, EDD,LPCC-S,NCC,RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Le Sueur, MN 56058 Phone: 507-858-3019 Fax: 507-512-7091 | |
Valerie Easterlund, Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Regency Rd, Le Sueur, MN 56058 Phone: 612-871-7878 Fax: 612-871-2567 |